Percentage of Unintentional Weight Loss (I.e. Malnutrition) Reported by the Client

Identifying Attributes

Care Settings
Home Care
Country
Netherlands
Publishing Organisation
Quality Framework Responsible Care for the sector Nursing, Care and Homecare
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Weight Loss / Nutrition

Defining Attributes

Definition

The percentage of clients with an unintentional weight loss of more than 3 kilograms in the last month or more than 6 kilograms over the past 6 months, which is not in line with the agreed treatment policy.

Numerator

The number of clients who, on the day/in the week of measuring, had an unintentional weight loss of more than 3 kilograms over the previous month or more than 6 kilograms over the previous 6 months.

Denominator

The number of clients with whom measurements have been carried out on the day/in the week of measuring.

Exclusions

Clients who receive terminal care or are suffering from cancer measured with • Clients whose unintentional weight loss has already been established by weighing (indicator 4.1a) • Clients who, on the day / in the week of measuring, could not or would not be asked about this • Clients with whom has been agreed in the care (treatment) / life plan that systematic examination concerning weight loss for the benefit of the Quality Framework will not be carried out.

Use of Risk Adjustment
Yes
Risk Adjustments

Case mix for relevant client characteristics (like care intensity).

Stratifications

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

Measured by the organisation itself every year with established registration questions.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Every organisational Unit provides a publication of its performance for the indicators for Responsible care via the Annual Document Social Responsibility (CIBG) and via the Quality Card at www.kiesbeter.nl (RIVM). Performance is also reported at an aggregated, anonymous level in an annual, nation-wide report from the Steering Committee.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Winters-Van Der Meer S, Kool RB, Klazinga NS, Huijsman R. Are the Dutch long-term care organizations getting better? A trend study of quality indicators between 2007 and 2009 and the patterns of regional influences on performance. Int J Qual Health Care. 2013 Oct;25(5):505-14. doi: 10.1093/intqhc/mzt061. Epub 2013 Aug 20. PMID: 23962991.

Link to Measurement Tools

CQ-index Long-term Care

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025